| NPI | 1619407616 |
|---|---|
| Former Name | KRISTIN MIHALCIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6777) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 6777) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2024-11-19 |